Active NPI
Crooks Physical Therapy and Sports PC
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1295381671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- CROOKS PHYSICAL THERAPY AND SPORTS PC
- Practice address
- 10390 Santa Monica Blvd Ste 220
Los Angeles, CA 90025-6960 - Phone
- (310) 659-9911
- Fax
- (323) 852-7105
- NPI assigned
- Aug 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nick Crooks, DPT
- Title
- Owner
- Phone
- (310) 953-6003
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
10390 Santa Monica Blvd Ste 220
Los Angeles, CA 90025-6960
Mailing address
10390 Santa Monica Blvd Ste 220
Los Angeles, CA 90025-6960
Phone (310) 659-9911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10390 Santa Monica Blvd
Ste 220
Los Angeles, CA 90025
Phone (310) 659-9911
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630886400000",
"number": "1295381671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10390 SANTA MONICA BLVD STE 220",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256960",
"telephone_number": "310-659-9911",
"fax_number": "323-852-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10390 SANTA MONICA BLVD STE 220",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256960",
"telephone_number": "310-659-9911",
"fax_number": "323-852-7105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROOKS PHYSICAL THERAPY AND SPORTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-12",
"last_updated": "2021-09-06",
"certification_date": "2021-09-06",
"status": "A",
"authorized_official_last_name": "CROOKS",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-953-6003",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.